2018 Optional Supplemental Dental Benefit
The optional supplemental dental benefit can be added to your BlueSaver HMO, Senior Blue HMO, or Forever Blue PPO plan. Our dental coverage is an optional supplemental benefit, which means it's not covered by Original Medicare or included in the benefit package of your plan. You must continue to pay your Part B premium and your Medicare Advantage plan premium.
BlueCross BlueShield of Western New York offers two optional supplemental dental benefits to choose from:
Either option gives you the freedom to choose your own dentist because there is no contracted dental provider network. With the basic plan, you pay $17 per month. With the enhanced plan, you pay $35 per month. Check out the details for each plan below.
*You must continue to pay your Part B premium and your Medicare Advantage plan premium.
What are the eligibility requirements?
You must live in one of the following Western New York counties to be eligible for enrollment in one of our Medicare Advantage plans:
Ready to enroll?
Add the optional supplemental dental benefit to your plan by enrolling in membership. For more details, view the 2018 Benefits at a Glance.
Looking for another plan?
BlueCross BlueShield of Western New York is a Medicare Advantage plan with a Medicare contract and enrollment depends on contract renewal.This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or coinsurance may change January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B Premium. Out-of-network/non-contracted providers are under no obligation to treat BlueCross BlueShield of Western New York members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. A division of HealthNow New York Inc., an independent licensee of the BlueCross BlueShield Association. A salesperson will be present with information and applications. For accommodations of persons with special needs at sales meetings, please call 1-800-248-9296 (TTY 711). BlueCross BlueShield of Western New York complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-202-9524 (TTY: 711).注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-833-202-9524 (TTY: 711).
Content Last Updated June 18, 2018